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Gastric pneumatosis in neonates: Revisited

Authors

  • JN Travadi,

    1. 1 Department of Neonatal Paediatrics, King Edward Memorial Hospital for Women, Subiaco, 2 University of Western Australia, Perth, Western Australia, Australia
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  • 1 SK Patole,

    1. 1 Department of Neonatal Paediatrics, King Edward Memorial Hospital for Women, Subiaco, 2 University of Western Australia, Perth, Western Australia, Australia
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  • and 1 K Simmer 1,2

    1. 1 Department of Neonatal Paediatrics, King Edward Memorial Hospital for Women, Subiaco, 2 University of Western Australia, Perth, Western Australia, Australia
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Dr SK Patole, King Edward Memorial Hospital for Women, Bagot Road, Subiaco, WA 6008, Australia. Fax: +61 8 9381 7559; email: skpatole@hotmail.com

Abstract

Abstract:  Pneumatosis intestinalis, found commonly in neonatal necrotising enterocolitis (NEC), can occur in any part of the gastrointestinal tract, from the oesophagus to the rectum. Gastric pneumatosis, defined as air within the wall of the stomach, however, is an extremely rare sign during infancy and is usually secondary to gastric outlet obstruction. The clinical course and outcome of a neonate with gastric pneumatosis associated with NEC is reported along with a brief review of the literature. The findings illustrate that gastric pneumatosis can be the presenting feature of fulminant NEC and may indicate widespread, severe gastrointestinal insult.

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